The American journal of occupational therapy : official publication of the American Occupational Therapy Association · 2019
Feasibility and Effects of the CO-OP Approach™ in Postconcussion Rehabilitation.
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Hunt Anne W, Paniccia Melissa, Mah Katie, Dawson Deirdre, Reed Nick
Аннотация
OBJECTIVE: We determined the feasibility and effects of the Cognitive Orientation to daily Occupational Performance (CO-OP) ApproachTM on activity performance and satisfaction, symptoms, and mood of adolescents with persistent postconcussion symptoms.
METHOD: In a prospective case series, 3 participants with persistent symptoms 3 mo after concussion and difficulties resuming activities were taught to use a metacognitive strategy (Goal-Plan-Do-Check) to work toward occupation-based goals in a 7-wk intervention (10 sessions, 30-60 min each). Participants were assessed pre- and postintervention and at 3-mo follow-up. Feasibility was determined by positive changes on study measures, ease of administration, and acceptability to participants.
RESULTS: Clinically significant, positive changes were found in participants' activity performance and satisfaction. All participants had decreases in symptoms and improved mood scores at posttest.
CONCLUSION: The CO-OP Approach to rehabilitation for youth postconcussion is feasible and may make a positive contribution to recovery.
METHOD: In a prospective case series, 3 participants with persistent symptoms 3 mo after concussion and difficulties resuming activities were taught to use a metacognitive strategy (Goal-Plan-Do-Check) to work toward occupation-based goals in a 7-wk intervention (10 sessions, 30-60 min each). Participants were assessed pre- and postintervention and at 3-mo follow-up. Feasibility was determined by positive changes on study measures, ease of administration, and acceptability to participants.
RESULTS: Clinically significant, positive changes were found in participants' activity performance and satisfaction. All participants had decreases in symptoms and improved mood scores at posttest.
CONCLUSION: The CO-OP Approach to rehabilitation for youth postconcussion is feasible and may make a positive contribution to recovery.